NPIMap

Organization Active NPI

Good Life Physical Therapy PLLC

  • Physical Therapist
  • Tarrytown, NY
National Provider Identifier
1679167936
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GOOD LIFE PHYSICAL THERAPY PLLC
Practice address
55 South Broadway
Second Floor
Tarrytown, NY 10591-4520
Phone
(914) 200-1475
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Myriah Pahl, DPTNPI 1447618210
Title
Managing Member, Physical Therapist
Phone
(914) 200-1475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

55 South Broadway
Second Floor
Tarrytown, NY 10591-4520

Mailing address

55 S Broadway Ste 2
Tarrytown, NY 10591-4004
Phone (914) 200-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503002468 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2163831140 Receives reassigned benefits from 4 practitioners
Practice locations: Tarrytown, NY

National Provider Directory

National Provider Directory

Locations

55 S Broadway
Ste 2
Tarrytown, NY 10591
Phone (914) 200-1475

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1679167936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S BROADWAY STE 2",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914004",
            "telephone_number": "914-200-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SOUTH BROADWAY",
            "address_2": "SECOND FLOOR",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105914520",
            "telephone_number": "914-200-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "PAHL",
        "authorized_official_first_name": "MYRIAH",
        "authorized_official_title_or_position": "MANAGING MEMBER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "914-200-1475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.